Healthcare Provider Details

I. General information

NPI: 1235522608
Provider Name (Legal Business Name): ALBEL ULTRASOUND IMAGING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 ALLEN CT APT A
WHEELING IL
60090-6102
US

IV. Provider business mailing address

428 ALLEN CT APT A
WHEELING IL
60090-6102
US

V. Phone/Fax

Practice location:
  • Phone: 773-946-0879
  • Fax: 847-243-4903
Mailing address:
  • Phone: 773-946-0879
  • Fax: 847-243-4903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number122905
License Number StateIL

VIII. Authorized Official

Name: ALEXANDRE BELIANSKI
Title or Position: PRESIDENT
Credential: RVT
Phone: 773-746-0879